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通过短信选择退出戒烟服务推:一个受控的中断时间序列分析

Stephen Wormall¹, Dominic Duggan², Ivo Vlaev³

¹Clinical Design Authority, Nottingham and Nottinghamshire Integrated Care Board, UK.

|November 27, 2025

概括

通过短信选择退出邀请显著增加了戒烟率,7.1%的人实现了28天的戒烟. 这种主动的方法成本低,而且有效,特别是对贫困人口来说,与自我推方法不同.

科学领域:

公共卫生公共卫生
医疗保健服务研究医疗服务研究
行为科学行为科学

背景情况:

戒烟服务对公共卫生至关重要.
在一般实践中,整合戒烟支持可以提高接触率.
评估不同的邀请策略是优化服务采用的关键.

研究的目的:

评估选择退出与自我推 (选择加入) 的SMS邀请对戒烟服务 (SSS) 的有效性.
为了确定对28天自我报告的禁烟的影响.
分析不同邀请方法的成本效益和可扩展性.

主要方法:

控制和不受控制的中断时间序列分析 (ITSA) 与队列分析.
13家一般诊所使用了选择退出SMS邀请 (N=145,170名患者).
1个一般诊所使用自我推SMS邀请 (N=19,100名患者).

主要成果:

选择退出邀请导致每周戒烟率显著增加 (13.1名患者,p=0.002).
接受选择退出邀请的患者中有7.1%实现了28天的戒断,贫困地区的比例更高.
自助推邀请没有显著影响吸烟戒断率.

结论:

积极选择退出通用诊所的SMS邀请大大增加了吸烟禁欲.
选择退出策略是一种低成本,可扩展和有效的戒烟方法.
自助推邀请在增加戒烟率方面无效.

关键词:

选择退出可以选择退出.人口健康管理人口健康管理主要的护理是初级护理.戒烟的方法是戒烟.烟草烟草烟草烟草烟草

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